Ashley Gott Chris Sheffler Hayden Gardiner Marion Park District Dave McReynolds Est. 1957 Heath Welch Our Mission: To advance parks, recreation and environmental conservation efforts that enhances the quality of life for all people of the Marion Park District. Name of sponsoring Entities: Marion Park District 2020 Halloween Havoc Pickleball Tournament READ CAREFULLY Please read this form carefully and be aware that, in AGREEING and participating in the above program, you will be waiving and releasing all claims for injuries, arising out of this program that you or the above participant might sustain. The terms, “I”, “me” and “my” also refer to parents or guardians as well as the participants in the program. In registering for the program, you are agreeing as follows: As a participant in the program, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risks of any injuries, including death, damages or loss which I may sustain as a result of participating, in any manner, in any and all activities connected with or associated with such program. I further recognize and acknowledge that all athletic activities involving strenuous exertion or potential body contact are hazardous recreational activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in the program against the Marion Park District, any and all other participating or cooperating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other entities, of whatever nature that might be directly or indirectly liable for any injuries that I might sustain while participating in the program. (The parties described in the preceding sentence are referred to as “release parties” in the remainder of the Agreement.) I do hereby fully release and discharge the Marion Park District and any and all other release parties, from any and all claims resulting from injuries, including death, damages and losses 519 Parish Avenue, Marion, IL 62959 Phone (618) 993-3940 Fax (618) 993-9094 MARIONPARKS.COM Ashley Gott Chris Sheffler Hayden Gardiner Marion Park District Dave McReynolds Est. 1957 Heath Welch Our Mission: To advance parks, recreation and environmental conservation efforts that enhances the quality of life for all people of the Marion Park District. sustained by anyone, and arising out of, connected with or in any way associated with my conduct and the activities of the program. I further understand and agree that the terms such as “participation,” “program,” and “activities,” referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in the program, and further include the provision of or failure to provide, proper instructions or supervision, the use and adjustment of any and all machinery, equipment and apparatus, and anything related to my use of the services, facilities or premises involved in the program. I understand the nature of the program for which I am registering and have read and fully understand this Waiver. Release and Hold Harmless Agreement. I further understand that any advisements or warning of the risks of this program that I subsequently receive will be incorporated by reference into and become a part of this Agreement. [If participant is a minor under the age of 18, BOTH parents or one custodial parent or guardian MUST AGREE] _____________________________ _________________________ Participant Signature Date _____________________________ __________________________ Guardian Signature (if needed) Date 519 Parish Avenue, Marion, IL 62959 Phone (618) 993-3940 Fax (618) 993-9094 MARIONPARKS.COM .